Análisis psicodinámico de un hombre adulto psicótico con manifestaciones clínicas de disociación: análisis de caso

Abstract

The following research work aimed to construct a psychodynamic analysis of the case of a psychotic adult man with clinical manifestations of dissociation, thus accounting for his psychism. The research is carried out by implementing the methodology of the single subject case study within which a collection of dialogues and stories found in the film works of Split (2016) and Glass (2019) which can account for the relationships and links parents and social present from the childhood of Kevin Wendell Crumb that lead to the constitution of a psychic structure of psychosis and formation of a child where it is possible to account for the defense mechanisms that the subject implements and how he uses they; In order to carry out an in-depth analysis of the collected data, the construction of a categorical matrix is necessary, which is divided into two analysis categories: clinical manifestations made up of the subcategories of delirium and dissociation and the second category of defense mechanisms, made up of the subcategories of repression, projection and projective identification, rationalization, compensation, dissociation, denial, fixation, regression, transfer and idealization. Among the findings found through the matrix, it was found that the subject presents a series of delusions typical of psychosis, which revolve around the impossibility in the process of symbolization in the face of painful experiences lived from an early age, such as the non-satisfaction of the affective and care needs and the non-possibility of establishing favorable links with another, which is why Kevin creates his own reality around how he perceives himself through the eyes of his mother; and likewise, it is possible to understand how the subject develops a clinical manifestation of dissociation, in which, the subject's personality is fragmented in such a way that Kevin generates 23 other personalities in psychic response to the traumatic and highly painful physical abuse of which He was victimized by his mother and the loss of the father figure. Regarding the findings regarding defense mechanisms, it is possible to observe the subject, most of them presenting characteristics typical of psychosis in defense mechanisms where massivity prevails with respect to forms of defense. In the same way, it is possible to observe how this subject in his psychosis reveals clearly the predominance of the tanatic, the nature and orientation of the desires and impulses and the morality based on his beliefs and what he considers to be the correct as it is to inflict a punishment on others who did not suffer any kind of physical abuse and are therefore different from him; as well as it is possible to observe that in what is related to the experiences that are presented from an early age, it gives rise to the formation of a fragile and weak child who does what is possible for the defender of psychic suffering. (apartes del texto)